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Withdrawal Request Form - MassMutual

Withdrawal Request FormGovernmental 457(b) OBRA and non-OBRAUse this form if you want to Request from your Plan account: a cash payment a direct rollover to an eligible retirement plan or IRA transfer to purchase Permissive Service Credit under a governmental defined benefit plan, if the plan permits direct payment of Qualified Health Insurance Premiums, if the plan permits a transfer to another provider within this Plan or to another 457(b) plan Do not use this form if you want to Request : a required minimum distribution (RMD) (use the Required Minimum Distribution Request form .)

Withdrawal Request Form. Governmental 457(b) OBRA and non-OBRA. Use this form if you want to request from your Plan account: • a cash payment Call

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